Remote Healthcare Compliance Auditor & E/M Specialist

Health Information Associates (HIA); Pawleys Island (SC); Remote; USD 60,000 - 85,000; Full time

Job summary

A health services firm in Pawleys Island seeks a candidate to perform compliance audits, focusing on CMS, CPT, and ICD-10 guidelines. This role involves reviewing records for accuracy, conducting educational summation conferences with clients, and maintaining communication throughout the review process. Ideal applicants should have a high school diploma coupled with an AAPC credential and a minimum of 5 years' experience in a multispecialty clinic. Strong communication, organizational, and critical thinking skills are essential for success in this position.

Qualifications

• At least one AAPC credential; CPC preferred.
• Minimum 5 years review experience in a multispecialty clinic/facility.
• ICD-10-CM training.

Responsibilities

• Prepares for Review and ensures appropriate diagnosis reporting.
• Reviews records to ensure compliance with federal and state guidelines.
• Conducts Summation Conference with Administration and staff.

Skills

Computer proficiency

Communication skills

Organizational skills

Critical thinking

Ability to work independently

Education

High School diploma

AAPC credential (CPC preferred)

Tools

Electronic Health Record (EHR)

Review databases (Intelicode, MD Audit)

Job description

A health services firm in Pawleys Island seeks a candidate to perform compliance audits, focusing on CMS, CPT, and ICD-10 guidelines. This role involves reviewing records for accuracy, conducting educational summation conferences with clients, and maintaining communication throughout the review process. Ideal applicants should have a high school diploma coupled with an AAPC credential and a minimum of 5 years' experience in a multispecialty clinic. Strong communication, organizational, and critical thinking skills are essential for success in this position.